Senior Fair

‘Blaze a Trail!’

43rd Annual Maui County

Senior Fair War Memorial Gym • Saturday, Oct. 29 • 7:30 to 11:30 a.m.

A Supplement of THE MAUI NEWS – Wednesday, October 26, 2016 – Page T1

contents Welcome from Maui County Executive on Aging.......................................Page 3 EnhanceFitness program.............................Page 4 Outstanding Older Americans......................Page 5 Na Hoaloha’s fall prevention education........Page 7 Senior Fair program and more.................Page 8-9 Protecting your assets and identity............Page 10 Medication changes for aging kupuna.......Page 11 Maui Economic Opportunity......................Page 12 Stroke awareness prevention...................Page 13 Having your wishes for care honored........Page 13 Kaunoa Senior Wellness Program.............Page 14 Powerful Tools for Caregivers....................Page 15

on the cover Photos from the 42nd Senior Fair festivities.

Photos provided by Maui County Office on Aging.

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SENIOR FAIR | BLAZE A TRAIL! | SATURDAY, OCT. 29, 2016

Aloha and welcome, Senior Fair attendees!

T

he theme for the 43rd Annual Senior Fair is: “Blaze a Trail!” This theme recognizes the many and varied contributions that older adults make to our Maui community.

Blazing a Trail includes influencing politics, culture, art, economy, history and the lives of others. Older adults are engaging in life in a wide variety of ways by discovering new passions, creating new and different second careers, and impacting the lives of community members of all ages through volunteer and service endeavors.

As you enjoy the Senior Fair this year, be mindful of the many booths dedicated to helping individuals find ways to remain healthy and contribute to others and the community as a whole.

Take some time to find out about exercise programs, have your blood glucose level checked, or get a flu shot. Discover the many resources available, opportunities for volunteerism, and make connections with others also engaged in healthy

Deborah Stone-Walls

Call today for your

activities. The music, the laughter or the special purchase you may make all have positive lingering effects on health and help us each Blaze a Trail.

Have a great time today Todd Hori as you learn from the variBoard Certified HIS ous vendors how older adults on Maui are leading and inspiring others and how we can all better supPhotos provided by MCOA port one another. Be mindful of the ways in which Maui County seniors are acknowledge Maui Ecoeach one of us. making the way for the Here’s to a great day that nomic Opportunity Inc. for generations that follow so reminds us all to Blaze a producing this event. The HMSA Participating Provider that we might follow their dedication and commitment Trail!

Serving Hawaii for over 34 years. example to Blaze a Trail of of MEO staff members our own! help make the Annual Sen- — Deborah Stone-Walls Maui County Maui County Office on ior Fair a memorable and Executive on Aging Aging once again wishes to pleasant experience for A Supplement of THE MAUI NEWS – Wednesday, October 26, 2016 – Page T3

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SENIOR FAIR | BLAZE A TRAIL! | SATURDAY, OCT. 29, 2016

EnhanceFitness Physical activity program designed to help seniors

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he Maui County Office on Aging is excited to continue sponsoring EnhanceFitness, a nationwide, evidencebased physical activity program designed specifically to help older adults become

more active, energized and empowered for independent living. With its national recognition by the Centers for Disease Control and Prevention, the U.S. Department of Health and Human Services and the Na-

tional Council on Aging, EnhanceFitness is an original physical activity intervention shown to be effective in community-based settings.

With approval from their doctors, participants are ex-

Veins and Vessels . . .

It’s what we do all day, everyday!

R. Randolph Waterford, MD

EnhanceFitness classes are fun and an opportunity for social support.

Photo provided by MCOA

“EnhanceFitness puts an emphasis on helping participants remain independently mobile, flexible, bal“I feel EnhanceFitness anced and healthy for as long as possible so has generally improved we can enjoy life in our my health — more energetic to do daily retirement years.” chores and care for —EnhanceFitness participant in Pukalani myself physically and emotionally. The posed to a fun, one-hour, inprogram has helped me teractive class offered three to increase my physical times a week, at various locations on Maui (Kahului fitness —specifically Union Church, Roselani balance.”

sions gained from EnhanceFitness. Regular participants reach out to those whom they notice are not attending classes as frequently by calling them and encouraging them to return. Many class participants have developed friendships and coffee clubs as a result of EnhanceFitness.

For more information on class availability, please call MCOA’s wellness coordinaPlace, Hale O Lanakila, St. tor, Lori Tsuhako, at 463About our Vein Specialist: — EnhanceFitness Treatment for: Anthony Church, Hannibal Decades of Experience participant in Kahului 3166. For more information • Bulging Varicose Veins Tavares Community Center, about the Maui County OfStanford Graduate • Unsightly Spider Veins Kalama Heights, Maui Powfice on Aging, please visit Quadruple Board Certified • Tired, Achy Legs erhouse Gym, Makawao gress is followed with fitness www.mauicountyadrc.org or Full-time Hawaii Resident • Restless Leg Syndrome Hongwanji, West Maui Sen- checks at enrollment and call 270-7774.

Focused on the care of our Ohana • Leg Pain & Swelling ior Center, Hale Kupuna O again every four months.

• Stroke Prevention Lanai and Holy Rosary Current fitness checks show All treatments are minimally invasive • Leg Ulcers Church). Through a variety Maui participants as signifi“Group exercises State-of-the-Art procedure room - No hospital visits!

• Peripheral Artery Disease of exercises such as balance, cantly improved from base- provide mental stimulacardiovascular, flexibility line to follow-up. and strengthening, particiIn the of Maui - No Need for Travel!

Not only are classes fun, tion, dedication and pants of all fitness levels are but they are also an opportu- enthusiasm that are 385 Hukilike St. | Suite 210 challenged but encouraged nity for social support. The absent when I exercise Kahului, Maui 96732 to modify exercises to their National Council on Aging ................................................................................ alone.” own fitness abilities. Instruc- findings show that group Covered by Most Insurances! • 808-871-VEIN (8346) — EnhanceFitness tors are specially trained, and participation and social interWaterfordVeinofHawaii.com participant in Makawao individual participant proaction are important dimenA Supplement of THE MAUI NEWS – Wednesday, October 26, 2016 – Page T4

SENIOR FAIR | BLAZE A TRAIL! | SATURDAY, OCT. 29, 2016

2016 Outstanding Older American Award recipients

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he Maui County Office on Aging is pleased to announce and honor the 48th Annual Outstanding Older American Award recipients, Mrs. Kathleen Phillips and Mr. John Tryggestad.

Kathleen is a 70-year-old loving wife, mother and caregiver to both her husband and daughter. In addition to her full-time caregiving, Kathleen has been and continues to be a very active member in her community. Over the past 30 years, Kathleen has been involved with several organizations on Maui, which include the AARP Kula Chapter, AARP Hawaii, Na Hoaloha, Big Brothers Big Sisters and St. Joseph’s Church, to name a few.

John is 69-year-old environmentalist who is dedicated to cleaning South Maui beaches through Hoaloha Aina; banding Hawaiian Wedge-Tailed Shearwater through the Maui Nui Seabird Project; and recycling books through his affiliation with the Maui Friends of the Library. With John’s dedication, planning and hard work, the money that was raised by selling more than

fairs and other similar activities every May. On Maui this event dates back to 1968, when Wendell Crockett was awarded the prestigious award of Outstanding Older American for Maui County. Since its inception in 1968, there have been 95 award recipi-

ents, including last year’s winners, Katsuko Enoki and Donald Jensen. The Maui County Office on Aging would like to make a special mahalo to our judges, Chivo Ching-Johnson, Dionne Phillips and David Spicer. For more information on the Maui

2016 Outstanding Older Americans John Tryggestad and Kathleen Phillips.

200,000 books has been used to assist eight county libraries and to help the MFOL purchase a new state-of-the-art bookmobile that will serve Maui.

The award ceremony was held on Friday, May 13, at the Kahili Golf Course Nahele Banquet Room in Waikapu. This year’s contestants for the Outstanding Older American Award also included: Henry Kaleialoha Allen, Marie Carvalho, Penny Davis, Miriam Katz, Jacqueline Woolsey and Yaemi Yogi.

Established in 1963 by President John F. Kennedy

and the members of the National Council of Senior Citizens, “Senior Citizens Month” was created to acknowledge the contributions of past and current older people to our country in May of every year. Since President Kennedy, every president has issued a formal proclamation requesting that the entire country pay tribute in some way to older people in their communities. Now known as “Older Americans Month,” it is celebrated across the country through ceremonies such as the Outstanding Older Americans, events,

County of Maui Managing Director Keith Regan presents a proclamation for “Older Americans Month” to Maui County Executive on Aging Deborah Stone-Walls.

Photo provided by MCOA

A Supplement of THE MAUI NEWS – Wednesday, October 26, 2016 – Page T5

County Office on Aging, please visit: www.maui countyadrc.org or call 2707774.

A Supplement of THE MAUI NEWS – Wednesday, October 26, 2016 – Page T6

SENIOR FAIR | BLAZE A TRAIL! | SATURDAY, OCT. 29, 2016

Na Hoaloha’s fall prevention education and outreach program helps keep kupuna safe

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alls are the leading cause of fatal and nonfatal injury for seniors in the United States. Every 29 minutes an older adult dies from a fall. Every six seconds an older adult is treated in an emergency room for a fall injury.

In Hawaii, every five hours a senior will fall, resulting in hospitalization.

Statistics reveal that of those seniors hospitalized, 40 percent will never return home and 25 percent will die within the first year after falling. Almost half of admissions to long-term care facilities are fall-related. For those who do return home, they may not fully recover and will become at-risk of social isolation. Falls usually happen because of the combined effects of a number of factors, which include: loss of balance, side effects of medication, impaired mobility or vision and environmental hazards. Environ-

mental hazards in the home account for 51 percent of deaths among elders who fall. People who are 85 years or older are 10 times more likely to fall than those who are between the ages of 65-69 years of age. The greatest concern is that 85plus years of age is the fastest growing segment of the population.

The good news is falls are preventable. Here are some simple things you can do to reduce your risk of a fall: ≤ Begin a regular exercise program. ≤ Have a health care provider review your medicine. ≤ Have your vision checked. ≤ Make your home safer.

Na Hoaloha has made Falls Risk Prevention an agency priority to help educate the public about what can be done to reduce fall risk factors and save lives. In September of 2015, Na

Hoaloha launched its county-wide falls prevention campaign — Stay on Your Feet! The nonprofit agency trained 52 volunteers on how to conduct a comprehensive in-home assessment to identify potential hazards that could lead to a fall. The falls risk prevention assessments are free, and the agency works in assisting the senior to correct potential hazards or making needed modifications to help ensure safety. Na Hoaloha takes every opportunity to educate the public to the need for better safety measures in preventing falls through presentations to community groups and schools.

Many homes in Hawaii are intergenerational and when a senior falls it affects the entire family. Children and young adults living with grandparents may not be aware of the dangers of a fall. Na Hoaloha has partnered with Maui High

Two Na Hoaloha volunteers meet with a kupupna to provide an inhome falls assessment.

School and Lahainaluna High School Health Occupations Students of America students to involve the youth in falls risk prevention. The current high school students are trained to identify hazards and conduct in-home assessments, and they will also be able to engage in peer training with youngerage students. Strengthening awareness in the family and the community is the best

tool for helping reduce and prevent falls risk.

Na Hoaloha offers every senior the in-home falls assessment. New volunteers are introduced to the Stay on Your Feet! program during orientation and trained to do assessments. Training workshops are open to the public and everyone is urged to get their social clubs, churches and business groups involved. Since the program

A Supplement of THE MAUI NEWS – Wednesday, October 26, 2016 – Page T7

began, an additional 45 volunteers have been trained in falls prevention and more than a thousand seniors have gained falls awareness through falls assessments, educational materials and community presentations.

If you want to know more about Stay on Your Feet! falls risk prevention or to volunteer with Na Hoaloha, please call 249-2545 or visit www.nahoaloha.org.

43rd Maui County Senior Fair • ‘Blaze a Trail!’

Vendors AARP Drivers Safety Program Allan H. Nagata & Associates Aloha Independent Living AlohaCare Ballard Family Mortuary Group Better Business Bureau

Bob Carroll CaptionCall Caregivers Hawaii CareResource Hawaii COM – Real Property Assessment Dain Kane

Event parking map

DCCA – Office of the Securities DCCA – Consumer Protection Department of Veterans Affair DOH Hawaii SHIP-SAGE Plus Don Couch Don Guzman Doorway Into Light Ekalesia O Kupainaha Elle Cochran Eyesight Hawaii First Hawaiian Bank G. Riki Hokama Gammie Homecare Hale Mahaolu Hale Makua Health Services Hana Lani Senior Club HMSA Ho‘ala Natural Pain Relief Hospice Maui HSTA-R Humana Insurance Island Hospice Island Podiatry LLC Joe Souki Kahului Jodo Mission Keani Rawlins-Fernandez Kelly King Kula AARP Kula Hospital Legal Aid Society of Hawaii Lions Club of Maui Lokenani Hale Makawao Hongwaji Mission MasterCare Maui Adult Day Care Center

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Maui Electric Co. Maui FCE Maui Mediation Services Maui Memorial Park Maui Puerto Rican Association Maui Vet Center MCOA MCOA – Better Choices, Better Health MetroCare Hawaii Plus Michael Victorino Mike White Na Hoaloha Na Wahine Hui O Kamehameha Napua Greig-Nakasone Nerium International New York Life Ins. Co. Obenauf Law Group Ohana Care Maui LLC Ohana Health Plan Portuguese Association of Maui Premier Physical Therapy Roselani Place Rosy’s Chop Suey Collection Senior Medicare Patrol Shane Sinenci SOH-DHS, Senior Companion Program Stacy Crivello Take Off Pounds Sensibly Trinette Furtado Tulsi Gabbard University of Hawaii Manoa Extension Vanessa Medeiros Walgreens Yuki Lei Sugimura

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M ahalotoourK upuna fortheirlifetim eofcontributions toourcom m unity.

H avea greattim eattheSeniorFair!

Paid for by Friends of Dain Kane – P.O. Box 104 • Wailuku, HI 96793

x For a personal tour or to learn more about our community call (808) 871-7720

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A Supplement of THE MAUI NEWS – Wednesday, October 26, 2016 – Page T8

Saturday, 7:30 to 11:30 a.m. • War Memorial Gym 43rd Annual Senior Fair Program 7:30 a.m.

Uluwehi Guerrero

La Galaria-Compania Baile Filipino

Na Pu‘uwai O Maui

Emcee Kathy Collins

8 a.m.

Ige

8:15 a.m.

8:45 a.m.

9 a.m.

9:15 a.m.

9:30 a.m.

9:45 a.m.

10:30 a.m.

11:25 a.m.

Welcome Emcee Kathy Collins Invocation by Reverend Kaina Entertainment by Na Pu‘uwai O Maui Kalei Cleveland and Friends Remarks by Governor, State of Hawaii, David Maui Representative, Leah Belmonte County of Maui Managing Director, Keith Regan Director of Housing and Human Concerns, County of Maui, Carol Reimann Executive on Aging, County of Maui, Deborah Stone-Walls MEO Chief Executive Officer, Lyn McNeff MEO Chief Operating Officer, Debbie Cabebe Entertainment Na Pu‘uwai O Maui continues Keoni’s Hot Lava DanceFit Studio Judy’s Gang – Kaunoa Seniors and friends Yaeko Yamamoto – Japanese Buyo Dancers La Galeria-Compania Baile Filipino Lahaina-Honolua Kupuna Serenaders Featured Artist Kumu Hula Uluwehi Guerrero and Halau Hula Kauluokala Hawaii Aloha

Lahaina-Honolua Kupuna Serenaders

Home Health Solution for Independent Living

Maui Branch Our trained staff offers services tailored to meet your needs: Home Healthcare • Companion Care • Personal Care Services Please contact us for a complimentary consultation

(808) 871-2115 • 355 Hukilike St., Kahului A Supplement of THE MAUI NEWS – Wednesday, October 26, 2016 – Page T9

SENIOR FAIR | BLAZE A TRAIL! | SATURDAY, OCT. 29, 2016

Protecting your assets and identity

By Lewis Littlepage Deputy Prosecutor, Department of the Prosecuting Attorney - County of Maui

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here are always those who want to profit without working, who are willing to steal from those who have worked hard all their lives.

Financial crime exploitation is happening more and

more as criminals seek a way to take money with little chance of being caught. The most common type of financial fraud is having someone attempt to trick a person into providing personal financial information. The ways that criminals try to gain your personal financial information is over the telephone, through an email sent to you or via the internet.

A stranger calls you claiming to sell magazines.

To order a magazine at a bargain price, just provide your address, your credit card information, including number, date of expiration and security code. While you have been promised that the magazine will arrive shortly, more likely the stranger will be enjoying a trip to Las Vegas at your expense.

You receive an email asking for donations to support a charity you care about. Criminals find lots of personal information about their victims on the internet and places like Facebook. I made up a search for Facebook, “Save the Sharks,” and look! Nearly a hundred people to send emails to, asking for donations to “Save the Sharks”! The

15 MAUI FAMILY CAREGIVERS CONFERENCE th

ANNUAL

criminal will not only get money “donated” to him but also credit card inforKEYNOTE SPEAKERS: mation to use again and Friday, Nov. 18, 2016 Jeanette C. Takamura, PhD, was the second again. The victims may Grand Wailea Assistant Secretary for Aging in President never know for one or two Ballroom Clinton’s Administration and led the effort to months that they have had 8:30 am - 3:30 pm establish the National Family Caregiver Support their identity and money Program and funding for caregivers as part of Cost: $15 for family stolen. caregivers, seniors and the Older Americans Act. She is currently Dean Financial crime using students. and Professor of Columbia University School of the internet often involves Social Work in New York. $25 for all others stealing confidential inforIncludes Continental mation and interfering with Michael Cheang, PhD, is an Associate Professor Breakfast and Buffet Lunch the use of your personal at the University of Hawaii, Manoa. His research Registration Deadline: Nov. 9 computer. This is done by: interests include transference of family values to NO REFUNDS: Name 1. Hacking — where a children with respect to family resource transfers will be accepted. person secretly gains acmanagement, family caregiving, volunteerism, and Note: You will NOT receive a cess to your computer to intergenerational projects. confirmation of registration. Your get information or cause check is your receipt. Checks are Special Presentations: Dr. Laurel Coleman, Geriatric Physician, damage.

NOT deposited daily and may not show up on your account for a few Kauai. “Elder Financial Abuse and Fraud – A Growing Problem” 2. Phishing (pronounced weeks.

Patricia Bemis, RN, and caregiver, Oahu. “Prepare to Care and “fishing”) — a scam by Maui County Office on Aging Manage Complex Change” which an email user is Phone: (808) 270-7755 duped into revealing per• There will be resource exhibitors, caregiver activities, and door prizes.

Please call for scholarship sonal or confidential infor• Transportation from Central Maui will be provided. Call 270-7755 to information. mation, often by directing micoa.adrc@mauicounty.gov register for bus transportation. Limited bus seating so register early.

Please indicate use of a walker or wheelchair if it applies. them to a false website.

As an example, you reRegistration Information: Print your information and mail or deliver to: ceive an email claiming to 95 Mahalani Street, Room 20, Wailuku, HI 96793. Attn: Caregiver Conference be from your bank, asking Make checks payable to: MAUI COUNTY OFFICE ON AGING you to click a link and sign in. The link is not actually Name your bank and you just Address gave away your password.

You took the bait. That’s Phone Email why it is called “PhishAdditional Guest Additional Guest ing.” Expect your bank A Supplement of THE MAUI NEWS – Wednesday, October 26, 2016 – Page T10

account to be empty soon.

3. Malware — applications that are used to record key strokes or obtain passwords and bank details. That link that was not actually your bank may actually load a program onto your computer to copy everything you do and then give it to the bad guys. Do not open email from people you do not know. Don’t click on links you are not sure of.

Go to the bank or company website. Do not trust a false link on a false email sent to you.

4. Ransomware — software that blocks access to a computer system until a sum of money is paid.

You open an unknown email and your computer is frozen up and you get a message demanding money to unlock your computer. Take your computer to a computer expert and have it de-bugged. And get good computer virus protection. There are good programs available for purchase and for free. If you pay once, the bad guys will Continued on the next page

SENIOR FAIR | BLAZE A TRAIL! | SATURDAY, OCT. 29, 2016

IVEY FOSBINDER FOSBINDER LLLC Rhonda M. Fosbinder

Medication changes for aging kupuna

By Carolin Hubbard, M.D. Chief of Geriatrics and Continuing Care at Kaiser Permanente Hawaii

A

s we get older, our medicine cabinets fill with prescription bottles, over-thecounter painkillers and vitamins to keep us healthy and feeling great. However, medications that may have had little to no negative effects in our 40s can affect us differently in our 60s and 70s. This might be due to side effects, drug interactions, a change in dosage or other issues.

Common medications that keep hearts healthy, blood pressure and diabetes in check, or help us sleep have the potential to become dangerous for kupuna. Even seniors that

Carolin Hubbard, M.D. have taken certain medications for years can be affected differently as they age.

The following are common examples of medications that affect kupuna in different ways as they get older: Anticholinergic drugs such as Benadryl are used

five things the IRS will never do. The IRS will Continued from Page 10 never: 1. Call to demand improbably do it again to mediate payment, and take more of your money. will never call about taxes The bottom line is proowed without first having tect your personal informailed you a bill. mation. Don’t give per2. Demand that you sonal financial informapay money without givtion out to an unknown ing you the opportunity to caller or to an unknown question or appeal the tax website. Change passamount the IRS says you words often, including your computer password, owe.

3. Require you to use a and get good computer specific payment method virus protection. It’s your to send your money, such money. Protect it.

So you paid your taxes. as a prepaid debit card.

4. Ask for credit or You are free from Uncle debit card numbers over Sam for another year.

Then comes that call from the phone.

5. Threaten to bring in the IRS demanding money. Once again, scammers local police or other lawenforcement groups to are trying to steal your have you arrested for not money. So how do you spot a theft trying to steal paying. your money? Here are If the caller does any of

Identity

to treat a variety of symptoms, from rash to allergies to insomnia. Though drowsiness is a common side effect for most people, it can also affect balance or cause confusion, increasing your risk of falling.

Seniors 65 and older are most at risk.

Medications that treat diabetes are prescribed based on the patient’s age, weight and eating habits.

As we age, these factors often change, but dosage levels may stay the same.

Dosages that are too high can cause low blood sugar levels. Seniors who experience hypoglycemia may feel dizzy and can lose consciousness or experience a seizure.

Your kidneys’ ability to filter medications from the body may decline as you these, they are trying to steal your money. They are not the IRS. Crime takes on many forms. You receive a phone call and the caller asks, “Are you 65 or older? Do you have chronic pain?” The caller offers to hook you up with a doctor who will provide a magic cream for the pain and says he will bill Medicare. All he needs is your Medicare number.

This is a 100 percent red flag. Legitimate health care practitioners don’t go around fishing for clients.

Nor do they collect Medicare numbers over the phone. Your Medicare number will be used for false claims to have the government pay the crooks for services you never received. Identity

age. Since many medications are cleared by the kidneys, dosages may need to be adjusted as you age.

It’s important to review your medications and any concerns with your primary care physician on a regular basis. They should also know about any herbal remedies or supplements you might be taking, as these can interact with medications. If you experience any unusual effects such as confusion, loss of coordination or dizziness, let your doctor know.

By being aware of the changes in your body, you can get the maximum benefit from your medications, while minimizing negative side effects. Medications should be helpful, not harmful, after all. theft comes in many forms. Your Medicare number is just as important as your credit card number. You would never give you credit card number to a thief. Don’t give your Medicare number to the nice-sounding stranger on the telephone or at your door.

In all cases where someone is trying to get your personal information, or threatens you to make an immediate payment, call the police, who will try to catch the villain, and call Adult Protective Services, who can give guidance on protecting your assets and will assist the police in their efforts to catch those who have no empathy and only want to take your money.

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SENIOR FAIR | BLAZE A TRAIL! | SATURDAY, OCT. 29, 2016

Maui Economic Opportunity Inc.

I

A community action program and a part of a nationwide network

n 1964, The Great Society, as envisioned by President Lyndon Johnson, was a sweeping plan to improve the lives of all Americans, regardless of their circumstances. Inspired by President Kennedy and his New Frontier, Johnson pledged to fulfill his promise of equal opportunity for all by enacting several comprehensive changes within the federal government. In August of that same year, the Economic Opportunity Act was signed into law by President Johnson creating the nationwide Community Action Network.

In Johnson’s first State of

nate efforts to address the root effects of poverty and to, ultimately, move families and individuals to self-sufficiency.

This work is not easy and demand is always shifting and changing. Poverty is viewed as a systemic problem and Community Action is a systems approach to resolving those issues. There are now more than 1000 Community Action Agencies throughout the United States and Puerto Rico.

Community Action Agencies promote self-sufficiency, not dependency.

The Community Services Block Grant, which supplies the core CAA funding, is unique; it is flexible, and it primarily funds local investPlacing a ments in services and partbeloved family nerships that are particular to the CAA’s home communimember in a ty. By adding to and altering government programs’ nursing home “one-size-fits-all” programcan be traumatic ming, a community can provide its low-income mememotionally — bers the right mix of assistance, encouragement and and financially. incentives to become selfsufficient.

The goal is to promptly stabilize a family, and thus avoid the long-term consequence of costly dependency.

A bedrock principle of Community Action is that resources of all kinds need to be integrated so they can be used in combination to solve community and individual problems.

We proudly carry Miele Vacuum Cleaners— CAAs are required to the World’s Best Vacuum Cleaner! have a tripartite board conMiele. . . . Anything Else is a Compromise! sisting of equal parts of lo85 N. Church Street | Wailuku, HI 96793 cal private-sector, publicPhone: 244-3905 | www.obenauflawgroup.com sector and low-income ?8E8 ?NP Ý B8?LCL@ Ý ~¤ 021'$< 6$785'$< 681'$< &/26(' community representaA Supplement of THE MAUI NEWS – Wednesday, October 26, 2016 – Page T12 the Union address on June 8, 1964, he called for an unconditional war to defeat poverty. He developed the Economic Opportunity Act of 1964. The act included a variety of initiatives, to include Head Start; Job Corps; Work-Study program for university students; VISTA (Volunteers in Service to America), a domestic version of the Peace Corps; Neighborhood Youth Corps; Basic education; and adult job training.

Community Action Programs turned out to be the most controversial part of the package, as it proposed the “maximum feasible par-

ticipation” by poor people themselves to determine what would help them the most. CAPS were a radical departure from how government had run most social reform programs in the past.

The Economic Opportunity Act was innovative legislation, but it remained critically underfunded. Community Action was a bold idea, especially for the federal government. It handed over control to the local level, so that programs were geared specifically for target population needs. This concept, “maximum feasible participation,”represented a

new paradigm in the government and many sectors were wary of its innovative ideas.

The guiding principle of maximum feasible participation continues today in Community Action. Local Community Action boards are tripartite, in other words, have representation from all segments of the local community including their lowincome clients.

Community Action equips low-income citizens with the tools and potential for becoming self-sufficient.

The structure of program is unique — federal dollars are used locally to coordi-

Call us, we can help!

tives. This structure brings together community leaders from each of these groups to collaborate on developing responses to local needs.

This allows for Maximum Feasible Participation in both the creation and administration of Community Action programs.

CSBG funds give CAAs the flexibility to design programs that address needs specific to individuals and the local community and to identify specialized resources that fit these needs.

CAAs respond quickly when a family or individual is in crisis to avoid costly long-term problems. The highest priority is placed on helping people achieve permanent self-sufficiency. In addition to emergency assistance, a major portion of CSBG expenditures is for coordination among various programs. Integrated service delivery is tailored to individual circumstances.

CAAs provide services that address the full range of family needs — from Head Start and other education and child development programs, to youth and adult employment and training, to services for seniors and the frail elderly. Services are generally coordinated through a case manager or family development specialist.

MEO’s mission is to strengthen the community while helping people in need, restore their hope, reach their potential and enrich their lives. MEO served more than 25,000 individuals and families throughout Maui County during the last fiscal year.

SENIOR FAIR | BLAZE A TRAIL! | SATURDAY, OCT. 29, 2016

Stroke awareness and prevention

Knowledge is power

M

The power of POLST: Having your wishes for care honored

omi and Roland are a retired couple living in Central Maui. Last year, Roland very year nearly learned he has incurable 800,000 Americans lung cancer and has been in will have a stroke. the hospital several times.

Approximately 75 percent Momi and Roland have had of these stroke victims will many conversations togethlose the mobility freedoms er and with the doctors. Beneeded to live healthy and Halsey cause of his short life exindependent lives. pectancy and desire for imSadly, the research esti- immediately. proved quality of life, he mates that 80 percent of has decided to forgo agRisk Factors for Stroke gressive life-prolonging these strokes could have High Blood Pressure: treatments, although he still been prevented through People who have high wants hospitalization, if risk factor management. blood pressure have 1-1/2 needed. One of his health So how do you know if times greater the risk of care providers recommendsomeone is having a having a stroke than people ed that he put his wish to let stroke? who do not have high nature take its course in Act F.A.S.T! writing, in a document Face: Ask the person to blood pressure.

Diabetes: People with called the POLST. This smile. Does one side of the diabetes are up to four form, signed by his health face droop? care provider, ensures that Arms: Ask the person to times as likely to have a stroke. High blood glucose his health care wishes will raise both arms. Does one increases plaque buildup in be carried out if he is unarm drift downward? able to make decisions for Speech: Ask the person your arteries.

High Cholesterol: himself. It also helps put to repeat a simple phrase.

Buildup of fatty deposits Momi at ease, since she is Is their speech slurred or and other cells in artery the one who will be called strange? walls. on to make decisions for Time: If you observe Atrial fibrillation (A Roland if he is unable. any of these signs — call One night, Roland has 911 immediately.

Continued on Page 15 problems breathing. Momi If you see someone having these symptoms or experience any of these symptoms yourself, call 911

By Don Halsey, R.N. Stroke Coordinator, MMMC

E

calls 911 and the paramedics arrive. They transfer him onto a stretcher to take him to the hospital. Knowing her husband’s wishes, Momi wants to be sure that if her husband’s heart or breathing stops en route to the hospital, he can have the natural death he desires. She runs to the kitchen, grabs the completed and signed lime-green POLST form hanging on their refrigerator and hands it to the paramedics. Momi can now feel a sense of relief that her husband’s treatment wishes will be followed, even if she’s not around to tell his medical providers.

So, what is the POLST, and how does it work? The POLST (Provider Orders for Life-Sustaining Treatment) is a portable and statewide recognized medical order, signed by your physician or advanced practice registered nurse (APRN) that makes you or your loved one’s wishes for treatment known. Portable means that it is valid wherever the patient is, whether

it is at home, in an ambulance, in an emergency department or anywhere in the hospital, or a nursing home.

It is for people with a chronic debilitating illness or a life-limiting disease, such as end-stage lung or heart disease, a terminal cancer or anyone who may be approaching the end of his or her life.

How is the POLST different from an Advance Healthcare Directive (AD)?

POLST is completed by you and your health care provider (physician or APRN), and translates your health care wishes into actionable orders that all health care providers and ambulance personnel must follow across all care settings. An AD is a form that you and everyone older than 18 should have to document your values and future wishes for health care, and allows you to appoint an agent to act as your health care power of attorney, in the event you are unable to speak for yourself. The combination of the

“ Senior Housing

x

Personal Care

x

Family Housing

x

Kupuna Care

x

Meals Program

x

Housing Counseling

Phone: (808) 872-4100

www.HaleMahaolu.org

Kokua Mau, Hawaii Hospice and Palliative Care Organization www.kokuamau.org, info@kokuamau.org

Caring for our kupuna is both a responsibility and a privilege.

”

Providing quality housing and support services to seniors and families throughout Maui County since 1967 x

POLST and AD will help make sure your wishes are known, even if you cannot speak for yourself.

We encourage you to be just as prepared as Momi and Roland!

Learn more about the POLST and AD, and download the forms by visiting the website for Kokua Mau, Hawaii Hospice and Palliative Care organization, a nonprofit, community benefit organization and recipient of the 2013 Trailblazer Award. We strive to provide information for individuals, families and health professionals so they can understand the decisions they may need to make. By talking about these issues ahead of time, people can prevent crises, relieve stress and ensure that their health care wishes are honored.

Take action and start the conversations today.

Paid for by Friends of Rosalyn Baker P.O. Box 10394 • Lahaina, HI 96761 • www.rozbaker.com

A Supplement of THE MAUI NEWS – Wednesday, October 26, 2016 – Page T13

SENIOR FAIR | BLAZE A TRAIL! | SATURDAY, OCT. 29, 2016

Kaunoa senior wellness program promotes healthy aging

K

aunoa Senior Services’ Wellness program offers a multitude of options to put individuals “55 and better” on a path to healthy aging by maintaining an active lifestyle that includes physical exercise and dance classes for a strong body; cultural and educational classes for a strong mind; and arts, humanities and recreational activities for a healthy spirit.

Don’t miss the following

special event coming up in October. Preregistration is required. For a complete listing of all of Kaunoa’s activities, call 270-7308 or 270-4310 to receive a monthly newsletter.

Civic Adventures: Help support your community by volunteering through Kaunoa’s Civic Adventures program, which offers unique and exclusive learning opportunities for Kaunoa’s participants. This month,

Kaunoa volunteers will travel to Keawala‘i Church in Makena to take a tour of the historic grounds and spend a day of kokua both inside the church and outside on the grounds. The event takes place on Friday, Oct. 28, from 7:45 a.m. to 3 p.m. and includes bus transportation from selected sites. Cost of $21 includes lunch at Cafe o Lei in Kihei. Call 2707308 for more information.

Life begins at 55!

Kaunoa’s senior volunteers worked with members of the Maui Nui Seabirds Recovery Project at Hawea Point in Kapalua, the site of the largest known seabird colony on Maui. Volunteers learned about the conservation efforts of the organization and spent the morning cleaning the nesting areas and surrounding environment.

Mahaloc.o.n. tinued support!

for your althy Stay safe and he JOIN US FOR DINNER Monday - Thursday

Seniors Night

… buy one or more adult price meals and 2 beverages and get one

Free Meal

4:00 PM to 10:00 PM … and don’t forget to visit us for breakfast, faster, better service … shorter waiting time for a table, especially on weekends

Maui Mall • Kahului Paid for by friends

of Riki Hokama. P.O

. Box 631258, Lanai

City, HI 96763

Offer cannot be combined, ends Nov. 1, 2016

871-4000

A Supplement of THE MAUI NEWS – Wednesday, October 26, 2016 – Page T14

SENIOR FAIR | BLAZE A TRAIL! | SATURDAY, OCT. 29, 2016

Are you a caregiver?

Get help with Powerful Tools for Caregivers Stroke Continued from Page 13

Fib): About 15 percent of all people who have strokes have atrial fibrillation.

Tobacco Use and Smoking: Smoking doubles the risk for stroke when compared to nonsmokers.

Unhealthy Weight: Obesity and excessive weight can put a strain on the circulatory system.

To schedule a Stroke Awareness and Prevention Class designed for your audience that will include free stroke education materials to help you live a healthy and independent life, please contact Don Halsey, R.N., stroke coordinator at Maui Memorial Medical Center. Halsey may be reached by phone at (808) 4425468 or by email at dhalsey@hhsc.org.

one takes his or her medication?

■ Help with chores, cooking, cleaning, shopping or paying bills?

■ Wake up at night worDo you: ried about your loved one?

■ Call or check in regu■ Provide personal care larly to make sure your such as bathing, grooming, loved one is okay? dressing or eating?

■ Make sure your loved ■ Make decisions about driving, health care or endof-life issues?

If you answered yes to any of these, you are a caregiver!

While caregiving is often fulfilling, it can also be stressful, take a toll on your health and lead to illness or burnout. When this happens, your loved one experiences decreased quality of care.

This is why caring for the caregiver is so vital for both the caregiver and the care receiver.

Powerful Tools for Caregivers is a six-week class that focuses on helping the Gardening and spend- caregiver to “Thrive, Not ing time outdoors can Just Survive!” It is sponhelp stress from caregiv- sored locally by University ing. of Hawaii Extension Office

By Heather GreenwoodJunkermeier University of HawaiiManoa Extension, Kahului Office

Heather Greenwood-Junkermeier (center) meets with three caregivers during a Powerful Tools for Caregivers class. and Maui County Office on Aging.

PTC has helped local family caregivers to reduce personal and caregiver stress, set goals, make tough caregiving decisions, find solutions to caregiving challenges, reduce feelings of guilt, anger and depression, and communicate effectively with ohana, neighbors, health care workers and others.

Here are a few suggested stress management ideas PTC participants have enjoyed: ■ Reading something enjoyable.

■ Making something beautiful.

■ Gardening and spending time outdoors.

■ Swimming, snorkeling and relaxing on the beach.

■ Learning and practicing Tai Chi.

■ Playing tourist for a couple of hours.

■ Joining MCOA’s EnhanceFitness program and break a sweat three times each week.

To learn more about Powerful Tools for Caregivers and to sign up for a class near you, contact Heather Greenwood-Junkermeier at UH Extension at 244-3242, ext. 226 or heather8@hawaii.edu.

Mahalo to our Seniors

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24 Kiopaa St, Pukalani - 808.633.6463 - www.AnytimeFitness.com

2138 Main St. • Wailuku • 808 244-8211

Paid for by Friends of Mike Victorino, P.O. Box 3085, Wailuku, HI 96793

A Supplement of THE MAUI NEWS – Wednesday, October 26, 2016 – Page T15

MEDICARE CERTIFIED HOME HEALTHCARE SKILLED THERAPY AND NURSING

SUPPORTIVE AND ENGAGING DAY CARE FOR ADULTS

We work with your physician to provide skilled care in the comfort of your own home when an injury or illness prevent you from leaving home. Care is provided by medical professionals, and is less expensive, more convenient and just as effective as care you would receive in a hospital or skilled nursing home.

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SERVICES INCLUDE:

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SERVICES INCLUDE:

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244-3661 | www.halemakua.org/home-health

871-9287 | www.halemakua.org/adult-day-health

A Supplement of THE MAUI NEWS – Wednesday, October 26, 2016 – Page T16